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Sherpath Lesson Quizzes Questions And Correct Answers Latest Version
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Sherpath Lesson Quizzes Questions And Correct Answers Latest Version
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Sherpath Lesson Quizzes Questions AndCorrect Answers Latest Version
Which patient condition would a nurse recognize as increasing the risk for
fluid volume deficit (FVD)?
-Hemorrhage
-Heart failure
-Foot infection
-Acute kidney injury ANS✔✔ Hemorrhage.
(Hemorrhage with significant loss of blood volume from bleeding would
increase the risk for isotonic FVD, leading to FVD.)
Which statements describe hypertonic fluid volume deficit? SATA
-It results in shrinkage of cells.
-Serum osmolality does not change.
-There is greater water loss than solute loss.
-Water and solute are lost at about the same rate.
-Volume moves from extracellular fluid to intracellular fluid. ANS✔✔ -It
results in shrinkage of cells.
-There is greater water loss than solute loss.
-(Water is pulled out of the cells into the intravascular space, shrinking
(dehydrating) the cells.)
,-(In hypertonic fluid deficit, sodium (a solute) is lost to a lesser degree than
water.)
Which factors increase the risk for the development of hypertonic fluid
volume deficit (FVD)? SATA
-Vomiting
-High fever
-Osmotic diuretics
-Diabetic insipidus
-Hypertonic intravenous fluids ANS✔✔ -Osmotic diuretics
-Diabetic insipidus
-Hypertonic intravenous fluids
-(Osmotic diuretics are drugs that draw water from cells; this can result in
hypertonic FVD.)
-(Diabetes insipidus, caused by an absence of antidiuretic hormone (ADH),
causes massive loss of body water in excess of loss of solute.)
-(Hypertonic intravenous fluids pull from the cells, resulting in dehydration
(i.e., hypertonic FVD).)
Which POSToperative factor places a patient at risk for FVD?
-Patient has a NG tube that is draining.
-Patient received an enema to prepare for surgery.
-Patient lost a moderate amount of blood during surgery.
,-Patient received NPO while waiting for surgery. ANS✔✔ Patient has NG tube
that is draining.
(Drainage from the tubes or other drains after surgery can contribute to fluid
volume loss, leading to a fluid deficit.)
For which condition would the nurse monitor a patient with FVE?
-Addison disease
-Postsurgical hip repair
-Severe burns with dressing changes
-Cirrhosis of the liver with low albumin ANS✔✔ Cirrhosis of the liver with low
albumin.
(Patients with severe liver disorders and low albumin are at risk for FVE)
Which conditions are associated with FVE? SATA
-Fecal retention
-Excessive fluid loss
-Excessive fluid intake
-Excessive fluid retention
-Decreased antidiuretic secretion ANS✔✔ -Excessive fluid intake
-Excessive fluid retention
, -(Excessive fluid intake can increase the circulating fluid volume. Fluid intake
includes the fluids a person drinks, intravenous fluids, and enteral feedings.)
-(When excessive fluids are retained in the circulating volume beyond the
needs of the body, circulating volume increases can potentially result in
FVE.)
Which info regarding hypotonic FVE would the nurse include when
developing an educational program for nursing staff? SATA
-Serum osmolality decreases.
-Serum osmolality does not change.
-Retention of water and sodium are equal.
-There is an increased circulating volume.
-Retention of water is greater than sodium. ANS✔✔ -Serum osmolality
decreases.
-There is an increased circulating volume.
-Retention of water is greater than sodium.
-(Serum osmolality decreases as a result of hemodilution because more
water is retained than sodium.)
-(Circulating volume is increased with both isotonic and hypotonic FVE.)
-(In hypertonic FVE, water is ingested at a greater rate than sodium.)
Which features are unique to isotonic FVE? SATA
-Water shifts into the cells.
-Serum osmolality decreases.
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